eval report cover.indd - New Jersey Farm to School Network Wiki

Healthy City Parent Survey (Page 1 of 2)Hello, may I please speak with __________________. This is ____________ and I am callingon behalf of the Healthy City program with Jenn and Aziza. We are calling the parentsof all teenagers who participated in the program to follow up with them on the impactof Healthy City on their child and family. Aziza mentioned that we could contact you. Isnow a good time to answer some questions? It should take about 7-10 minutes and allresponses will be kept confidential.If no: Can I schedule a time to call you back? [RECORD TIME]If yes: Thank you for agreeing to participate and again, all your answers will be keptconfi d ential and will not impact your child’s ability to participate in this program in thefuture in any way.1. First off, we would like to understand the impact your child’s participation in theHealthy City Program had on your child and your family. I’m going to read severalstatements and I’d like for you to tell me the level of change using the responses “not at all”,“a little”, “to some degree”, “very much”, and “a great deal”. I’ll repeat those responses again.Did the participation of your son/daughter in the Healthy City Program change: [REPEATSCALE EACH TIME AS NEEDED]Your child’s eating habits?If some change, please explainYour child’s involvement inschool?If some change, please explainYour family’s eating habits?If some change, please explainYour family’s involvement inyour child’s school activities?If some change, please explainNot atallAlittleTo somedegreeVerymuchA greatdealFarm Conclusions to School and Sample RecommendationsTools and Resources2. Did your child bring home fresh vegetables to share with you and your family?YesNoIF YES:a. What vegetables did you like the most?b. What vegetables did you like the least?c. Were there any you would have liked information on how to cook with?www.farmtoschool.org 189